Radiological imaging system with improved internal movement

ABSTRACT

A radiological imaging system including a bed and a load-bearing structure supporting the bed. The system also includes a gantry defining a main axis of expansion, and the gantry has a source suitable to emit radiation and a detector with a sensitive surface suitable to detect the radiation. The gantry also has an internal inner guide suitable to rotate the detector around the main axis of expansion defining an inner sliding trajectory, and an internal outer guide suitable to rotate the source around the main axis of expansion defining an outer sliding trajectory. In one embodiment, the distance from the source to the main axis of expansion is greater than the distance from the detector to the main axis of expansion. The gantry also includes a casing housing the source, the detector, the internal inner guide, and the internal outer guide.

CROSS-REFERENCE TO RELATED APPLICATIONS

This application claims the benefit to Italian Application No. MI2014A001297, filed Jul. 16, 2014, which is herein incorporated by reference in its entirety.

FIELD

The present disclosure relates in general to the field of a radiological imaging system, and in particular, to a system and method for providing a radiological imaging system useful in the medical/veterinary sphere to obtain images of at least a portion of the internal anatomy of a patient and thus, perform analyses, diagnoses, or other assessments of the patients.

BACKGROUND

As is known, the radiological imaging devices currently available on the market have a standard structure including a bed on which the patient is placed in order to perform image scanning of the patient. The radiological imaging device includes a gantry, which houses a source for emitting X-rays and a detector for receiving the X-rays.

Given the need to contain the source, the detector and the movement system, the gantry is cumbersome and, in particular, has a diameter of at least 1.5 meters and cannot therefore be maneuvered through doors or other passages present in a hospital. For that reason, if radiological imaging needs to be performed to verify the successful outcome of an operation, the patient must be lifted from the operating table, placed on a bed, moved to another part of the hospital to the room where the imaging device is installed, lifted again and then placed on the bed of the radiological imaging device. This procedure may be further complicated if the radiological imaging reveals the need for further surgery, in which case, the patient would need to be taken back to the operating room. Additionally, such maneuvers often entail problems for the patient and therefore need to be performed with particular care and expertise. Consequently, the length of time needed to perform the aforementioned maneuvers increases.

SUMMARY

Existing limitations associated with the foregoing, as well as other limitations, can be overcome by a method for operating a radiological imaging device, and by a system, apparatus, and computer program that operates in accordance with the method. Briefly, and in general terms, the present disclosure is directed to various embodiments of a radiological imaging system.

A radiological imaging system with a bed, a gantry, and the method of operating thereof are disclosed. In one embodiment, the radiological imaging system permits the patient to be maneuvered easily and reduces risks to the patient. Also, the system may permit a reduction in the maneuvers involving the patient. The radiological imaging system may further permit different analyses/operations to be performed on the patient conveniently and quickly.

According to one embodiment, a radiological imaging system, includes a bed and a load-bearing structure supporting the bed. The system also includes a gantry defining a main axis of expansion. The gantry has a source suitable to emit radiation and a detector with a sensitive surface suitable to detect the radiation. The gantry also has an internal inner guide suitable to rotate the detector around the main axis of expansion defining an inner sliding trajectory, and an internal outer guide suitable to rotate the source around the main axis of expansion defining an outer sliding trajectory. In one embodiment, the distance from the source to the main axis of expansion is greater than the distance from the detector to the main axis of expansion. The gantry also includes a casing housing the source, the detector, the internal inner guide, and the internal outer guide.

In one embodiment, the distance from the source to the main axis of expansion is between about 900 mm and about 480 mm, and the distance from the detector to the main axis of expansion is between about 600 mm and about 300 mm. These distances may vary by ten percent.

By way of example only, the casing may include a fixed arched module, a first mobile arched module, a second mobile arched module. There system may also include at least one kinematic expansion mechanism. The kinematic expansion mechanism is connected to the gantry and able to move the first and second mobile arched modules with respect to the fixed arched module of the casing and vary the angular extension of the casing and the gantry. In this example, the radiological imaging system may include a rest configuration in which the first mobile arched module is overlapping the fixed arched module so that the angular extension of the casing is substantially equal to the angular extension of the fixed arched module. The radiological imaging system may also include a working configuration wherein the first mobile arched module at least partially protrudes from the fixed arched module so that the angular extension of the casing is higher to the angular extension of the fixed arched module. The rest configuration and working configuration of the system may have multiple configurations.

In yet another embodiment, the internal inner guide includes an inner arched guide integral with the first mobile arched module and defining the inner sliding trajectory. There is at least one inner cart constrained to the detector to move the detector along the inner arched guide. In this embodiment, the internal outer guide includes an arched outer guide integral with the second arched mobile module and defining the outer sliding trajectory. There also is at least one outer cart constrained to the source and adapted to move the source along the outer arched guide. The inner and outer arched guides may have an angular extension between about 180° and about 210°. The inner arched guide may be bound to the first mobile arched module defining a first protruding portion, and the outer arched guide is bound to the second mobile arched module defining a second protruding portion. In one embodiment, the first protruding portion has an angular extension of about 90° and the second protruding portion has an angular extension between about 10° and about 20°. The angles describe herein may vary by up to ten percent.

In one embodiment, the radiological imaging system includes a compensating member arranged between the gantry and the load-bearing structure. The compensating member may be suitable to define an additional rotation of the source and the detector around the main axis of expansion. In one example, the angular extension of the additional rotational plus the angular extension of the rotation of the source and the detector defined by the internal movers is equal to about 360°. Also, the angular extension of the additional rotation of the source and the detector may be about 180°.

Other features and advantages will become apparent from the following detailed description, taken in conjunction with the accompanying drawings, which illustrate by way of example, the features of the various embodiments.

BRIEF DESCRIPTION OF THE DRAWING

The teachings claimed and/or described herein are further described in terms of exemplary embodiments. These exemplary embodiments are described in detail with reference to the drawings. These embodiments are non-limiting exemplary embodiments, in which like reference numerals represent similar structures throughout the several views of the drawings, and wherein:

FIGS. 1a-1e show, in perspective, an exemplary radiological imaging system in a possible operating sequences;

FIGS. 2a-2c are front views of part of the operating sequence of FIGS. 1a -1 e;

FIGS. 3a and 3b shows one embodiment of an assembly of the radiological imaging system;

FIGS. 4a and 4b show an embodiment of a subassembly of the system; and

FIG. 5 shows another subassembly of the system.

DETAILED DESCRIPTION

Each of the features and teachings disclosed herein can be utilized separately or in conjunction with other features and teachings to provide a radiological imaging system occupying a reduced space. Representative examples utilizing many of these additional features and teachings, both separately and in combination are described in further detail with reference to the attached figures. This detailed description is merely intended to teach a person of skill in the art further details for practicing aspects of the present teachings and is not intended to limit the scope of the claims. Therefore, combinations of features disclosed above in the detailed description may not be necessary to practice the teachings in the broadest sense, and are instead taught merely to describe particularly representative examples of the present teachings.

In the description below, for purposes of explanation only, specific nomenclature is set forth to provide a thorough understanding of the present disclosure. However, it will be apparent to one skilled in the art that each of these specific details are not required to practice the teachings of the present disclosure.

Moreover, the various features of the representative examples may be combined in ways that are not specifically and explicitly enumerated in order to provide additional useful embodiments of the present teachings. It is also expressly noted that all value ranges or indications of groups of entities disclose every possible intermediate value or intermediate entity for the purpose of original disclosure. It is also expressly noted that the dimensions and the shapes of the components shown in the figures are designed to help to understand how the present teachings are practiced, but not intended to limit the dimensions and the shapes shown in the examples. In this document, measurements, values, shapes, angles, and geometric references (such as perpendicularity and parallelism), when associated with words like “about” or other similar terms such as “approximately” or “substantially,” should be construed to allow for measurement errors or others errors due to production and/or manufacture process, and may vary by up to ten percent.

With reference to FIGS. 1a -5, reference numeral 1 denotes the radiological imaging system.

The radiological imaging system 1 is useful in both the medical and veterinary applications for performing radiological imaging of at least one portion of the internal anatomy of a patient. In particular, the radiological imaging system 1 is useful for performing X-rays, CT scans, fluoroscopy and other radiological imaging examinations.

In one embodiment, the radiological imaging system 1 includes a control unit 1 a (shown in FIG. 1e ) suitable to control the functioning of the radiological imaging system 1. The system also includes a bed 20 extending along a main direction (or main axis of extension) 20 a and having a support surface 20 b to support the patient. The system includes a gantry 30 suitable to perform the radiological imaging of at least a portion of the patient and defining a main axis of expansion 30 a. The gantry may have a circular trajectory of expansion 30 b, in a positioning plane 30 c having, appropriately, its center on the axis of expansion 30 a. The system also may include a load-bearing structure 40 suitable to support the gantry 30 and, in a raised position, the bed 20 and defining a free chamber 40 a. The gantry in this embodiment is a collapsible gantry.

As best shown in FIGS. 1a-1c , the bed 20 extends along a main direction (or main axis of extension) 20 a substantially parallel and, in particular, coinciding with the main axis of expansion 30 a. The supporting surface 20 b may be substantially parallel to the main axis of expansion 30 a and, in particular, arranged to lie almost parallel to the support surface of the radiological imaging system 1.

In one embodiment, the control unit 1 a may be connected to the other components of the system 1 by wireless connection and/or by a cable 1 b as shown in FIG. 1e . The control unit 1 a may control and command the radiological imaging system 1. More specifically, the control unit 1 a may control the gantry 30 and its movements. The control unit 1 a may include a command board able to automatically control and command the radiological imaging system 1 and any interface components (e.g., touch screen, keyboard, joystick, etc.) suitable to allow the operator to command the radiological imaging system.

As shown in the examples of FIG. 1, the load-bearing structure 40 includes a base 41 that comes in contact with the floor and is suitable to support the gantry 30. Also in this example is at least one column 42 suitable to support the bed 20 in the raised position with respect to the base 41. There may be two columns 42 to support the bed. However, additional columns may be included to support the weight of the bed and the patient. In one embodiment, the system includes movement wheels 43, preferably pivoting, suitable to be arranged between a floor surface upon which the system 1 is disposed and the base 41 to allow the movement of the system 1 and at least one actuator 44 suitable to move the bed 20 with respect to the base 41. Multiple actuators may be used to move the bed.

As shown in the exemplar figures, the base 41 and the at least one column 42 limit and define the chamber 40 a. In detail the chamber 40 a is delimited at the bottom (closed to the floor) by the base 41; along a side face by the column 42; if present, along a second side face opposite to the first by the second column 42; and, optionally, the top by the bed 20.

The actuators 44 are arranged between the bed 20 and each column 42 to modify the extension of the chamber 40 a via a translational movement substantially perpendicular to the main direction (or axis of extension) 20 a. Alternatively, the actuators 44 modify the internal chamber 40 a through a rotational movement of the bed 20 about an axis substantially parallel to the main direction 20 a.

Arranged between the base 41 and the gantry 30, the radiological imaging system 1 includes a rotation mechanism 50 suitable to rotate the gantry 30 about an axis of rotation 50 a in one embodiment. The system may also include a translation mechanism 60 suitable to move the gantry 30 along an axis of translation 60 a substantially parallel to the main direction 20 a (FIG. 1e ).

The translation mechanism 60 is arranged between the base 41 and the gantry 30 and includes a linear guide 61. The linear guide 61 may be motorized and suitable to control the translation along the axis of translation 60 a. The translation mechanism may also allow the translation along the axis of translation to be done manually. In this example, the translation mechanism 60 includes a carriage 62 connected to the gantry 30 to slide along the linear guide 61 thus translating the gantry 30.

By way of example, the rotation mechanism 50 is arranged between the translation mechanism 60 and the gantry 30 and suitable to rotate the gantry 30 with respect to an axis of rotation 50 a substantially transverse and, in particular, substantially perpendicular to the main axis of extension 20 a.

In one embodiment, the rotation mechanism 50 includes a fixed plate 51 suitable to be connected to the carriage 62, and a mobile plate 52 connected to the gantry 30. In this embodiment, the rotational mechanism 50 may also include pins, bearings or other similar elements defining the axis of rotation 50 a. A control lever 53 suitable to be held by the operator may permit the operator to manually control the rotation, about the axis of rotation 50 a, of the mobile plate 52 and, thus, of the gantry 30 with respect to the fixed plate 51. As an alternative to the control lever 53, the rotation mechanism 50 can include a motor suitable to control the rotation of the gantry 30.

In one example, the control lever 53 is suitable to be connected to holes provided in the plates 51 and 52 so as to define, for the gantry 30, a first rotational blocked position in which the main direction (or axis of expansion) 30 a, is substantially parallel to the main direction (or axis of extension) 20 a, and the circular trajectory of expansion 30 b and the positioning plane 30 c are substantially perpendicular to the main direction 20 a. A second rotational blocked position in which the main axis of expansion 30 a is substantially perpendicular to the main direction 20 a, the circular trajectory of expansion 30 b, and the positioning plane 30 c are substantially parallel to the main direction 20 a. In another example, the lever 53 may additionally define a third rotational blocked position in which the main axis of expansion 30 a is substantially parallel to the axis of extension 20 a, and the circular trajectory of expansion 30 b and the positioning plane 30 are substantially perpendicular to the main direction 20 a, but the gantry 30 is rotated by 180° with respect to the first position.

By way of example only, and not by way of limitation, the gantry 30, rotatable by virtue of the rotation mechanism 50, includes a source 31 suitable to emit radiation, such as X-rays, and defining a central axis of propagation 31 a preferably substantially perpendicular to the main directions 20 a and 30 a. The gantry also includes a detector 32 suitable to receive the radiation after it has traversed the patient's body and the bed 20. There may also be at least one internal mover able to rotate the source 31 and the detector 32 around the main direction (axis of expansion) 30 a defining, for the detector 32, an inner sliding trajectory 33 a and, for the source 31, an outer sliding trajectory 34 a distinct from the inner trajectory 33 a. In one embodiment, the gantry also includes a casing 35 suitable to house the source 31, the detector 32, and the movers. In one example, the source, detector, and movers are located within the casing of the gantry regardless of the configuration of the system.

The radiological imaging system 1 is useful in both the medical and veterinary applications for performing radiological imaging of at least one portion of the internal anatomy of a patient. In particular, the radiological imaging system 1 is suitable for performing X-rays, CT scans, fluoroscopy and other radiological imaging examinations. Thus, in one embodiment, the detector 32 may have a first sensor 32 a, suitable to selectively carry out tomography or fluoroscopy and defining a first sensitive surface 32 b suitable to detect the radiation. A second sensor 32 c may be suitable to perform X-rays and define a second sensitive surface 32 d suitable to detect the radiation. In one embodiment, the detector may include a movement apparatus suitable to move the first sensor 32 a and the second sensor 32 c in relation to the source 31. It has been contemplated other arrangements of various sensors of the detector can be used, the embodiment described is merely one example.

By way of example only, and not by way of limitation, the first sensor 32 a may include a flat panel, while the second sensor 32 c may include at least one linear sensor. In another example, the first sensor 32 a includes two linear sensors, positioned alongside each other and defining substantially coplanar second sensitive surfaces 32 d. Alternatively, the second sensor 32 c may include one or more rectangular sensors or other sensors. In other embodiments, other types of sensors can be used for sensors 32 a and 32 c and the second sensor 32 c may include more or less than two sensors. It has also been contemplated that the second sensor 32 c may include one or more rectangular sensors or other sensors.

In yet another embodiment, the detector 32 may envisage a third sensor, not shown in the drawing, preferably consisting of a direct photonic counting sensor.

The movement apparatus is suitable to move the sensors 32 a and 32 c in relation to the source 31 defining a first active configuration wherein only the first sensor 32 a is able to receive the radiation emitted by the source 31 and a second active configuration wherein only the second sensor 32 c is able to receive the radiation.

In one embodiment, the movement device moves the detectors 32 a and 32 c in such a way that, in each of the active configurations the sensitive surfaces 32 b and 32 d are substantially perpendicular to the axis of propagation 31 a so that the distance of the source 31 from the detectors 32 a and 32 c, and more specifically, from the surfaces 32 b and 32 d is kept unvaried.

Furthermore, in the embodiment in which the detector 32 envisages the third sensor, the movement apparatus moves the three sensors, in the same way as described below, defining a third active configuration wherein only the third sensor is able to receive the radiation emitted by the source 31. In this embodiment, the sensitive surface of the third sensor is substantially perpendicular to the central axis of propagation 31 a. The distance of the source 31 from the third sensor and more specifically from its sensitive surface is equal to that defined by the source 31 and by the other surfaces 32 b and 32 d in the other active configurations.

As shown in FIGS. 4a and 4b , the movement apparatus may include a load-bearing body 32 e suitable to support the detectors 32 a and 32 c and a motor 32 f. The motor may be an electric motor, or any type of motor suitable to rotate the detectors 32 a and 32 c along an axis of rotation 32 g. In one embodiment the detectors 32 a and 32 c are rotated substantially perpendicular to the axis of propagation 31 a. The detectors 32 a and 32 c may be rotated substantially parallel to or perpendicular to the main direction 20 a.

In one example, the amplitude of rotation of the detectors 32 a and 32 c is substantially equal to 90° or to 180° so that, in the first active configuration (FIG. 4a ), the first surface 32 b is substantially perpendicular to the central axis of propagation 31 a, and the second surface 32 d is substantially parallel to the central axis of propagation 31 a. In the second active configuration (FIG. 4b ), the first surface 32 b may be substantially parallel to the central axis of propagation 31 a, and the second surface 32 d may be substantially perpendicular to the central axis 31 a. In this embodiment, the distance from the source 31 is the same as that between the source and the first surface 32 b in the previous configuration.

In the embodiments shown, the casing 35 forms the outer body of the gantry 30 and, therefore, it defines the dimensions and, in particular, the angular extension of the gantry 30.

By way of example, the casing 35 and, therefore, the gantry 30 may be telescopic to vary in extension along the circular trajectory of expansion 30 b. The telescopic casing defines, for the radiological imaging system 1, at least one rest configuration and at least one working configuration. The system may have multiple rest configurations and working configurations that may vary by degree.

In one example of the rest configuration (FIGS. 1a and 2a ), the casing 35 and the gantry 30 are contracted and have minimal angular dimensions. Therefore, in this rest configuration, the casing 35, the gantry 30, and the positioning plane 30 c, define an arc of a circumference substantially centered on the main direction (axis of expansion) 30 a and having an angular extension of, for example, approximately less than 270°. In one embodiment, the arc of a circumference has an angular extension of approximately less than 240° and, in another embodiment, less than about 210° and, in yet another embodiment, approximately equal to about 190°.

Furthermore, in the rest configuration, the gantry 30 and the trajectory of expansion 30 b define a positioning plane 30 c substantially parallel to the main direction 20 a. In one embodiment, the gantry 30 is housed in the free chamber 40 a thereby reducing the overall dimensions of the device 1 to a minimum and, as a consequence, leaving the support surface 20 b substantially clear and easily accessible from any point. In one embodiment, the gantry 30 is entirely housed in the free chamber 40 a when in the rest configuration, and in another embodiment, the gantry 30 is at least partially housed in the free chamber 40 a when in the rest configuration.

As an example, in the at least one working configuration, as shown in FIGS. 1c-1e and 2c , the casing 35 and the gantry 30 have an angular extension greater than that of the rest configuration to at least partially surround a portion of the bed 20 and of the patient on the bed 20. Additionally, the casing 35 and the gantry 30, are rotated with respect to the rest configuration using the rotation mechanism 50, in order to place the positioning plane 30 c substantially transverse to the main direction (or axis) 20 a. In this example, the casing 35 and the gantry 30 are rotated, with respect to the rest configuration, of an angle of approximately 90° and the plane 30 c is almost perpendicular to the main direction 20 a and the axis 30 a is approximately parallel to the main direction 20 a.

In addition to the above exemplary configurations, the radiological imaging system 1 may also define at least one supplementary working configuration in which the casing 35 and the gantry 30 have an angular extension substantially analogous to that of the aforementioned working configuration and the positioning plane 30 c is substantially perpendicular to the main direction 20 a, but rotated by approximately 180°, around the axis of rotation 50 a, with respect to the working configuration so that the gantry 30 faces an opposite direction from the working configuration.

In one embodiment, the radiological imaging system 1 defines another working configuration of maximum extension (FIGS. 1d-1e and 2c ) and, additionally, a supplementary working configuration of maximum extension in which the casing 35 and the gantry 30 are substantially closed. In this embodiment, the casing 35 and the gantry 30 have an angular extension and an expansion trajectory circular 30 b of substantially 360°.

In certain embodiments, the casing 35 includes at least two modules having a preferred trajectory of extension that substantially coincides with the circular trajectory 30 b and having cross-sections of different extensions to enable a reciprocal insertion.

In one embodiment, the casing 35 includes a fixed arched module 35 a suitable to be connected to the rotation mechanism 50. The casing 35 also includes at least one mobile arched module having a lesser cross-section than the fixed module 35 a to be housed therein. In one embodiment, the casing 35 includes two mobile arched modules, and these two mobile arched modules may be housed within the fixed module 35 a. There may also be at least one kinematic expansion mechanism 35 b suitable to move the at least one mobile arched module with respect to the fixed module 35 a along the circular trajectory of expansion 30 b to allow the casing 35 to assume any angular extension between 360° and the angular extension of the fixed arched module 35 a.

By way of example, the casing 35 may include a fixed arched module 35 a, a first mobile arched module 35 c disposed at an end of the fixed module 35 a, a second mobile arched module 35 d disposed at the opposite end of the fixed arched module 35 a. The first and second mobile arched modules may be substantially symmetrical. In this example, the system may include a kinematic expansion mechanism 35 b able to move, independently from each other, the first and second mobile arched modules 35 c and 35 d with respect to the fixed module 35 a along the trajectory of circular expansion 30 b. The movement of the first mobile arched module 35 c is in the opposite direction of the second mobile arched module 35 d so that at maximum extension, the first and seconds mobile arched modules 35 c and 35 d reach a mutual contact point.

In one embodiment, the fixed module 35 a and mobile arched modules 35 c and 35 d have substantially the same expansion axis almost coinciding with the trajectory of circular expansion 30 b.

The first and second mobile arched modules 35 c and 35 d may have a cross-section different from that of the fixed module 35 a to at least partially overlap the fixed module 35 a. In another embodiment, the cross-section of the mobile arched modules is the same as the cross-section of the fixed module. In one example, the mobile modules 35 c and 35 d may have a cross-section smaller than that of the fixed arched module 35 a to be housed inside the fixed arched module.

In one embodiment, the kinematic expansion mechanism 35 b is adapted to move the mobile arched modules 35 c and 35 d with respect to the fixed module 35 a to vary the extension of the portion of each mobile arched module superimposed and, in particular, included in the fixed arched module 35 a.

In one example, the kinematic expansion mechanism 35 b is adapted to arrange, in the rest configuration (FIGS. 1a and 2a ), each mobile arched module 35 c and/or 35 d totally located inside in the fixed module 35 a so that the angular extent of the gantry 30 is substantially equal to that of the fixed module 35 a. In the rest configuration of this example, the mobile arched modules 35 c and 35 d are totally inside the fixed module 35 a of the casing 35 and may be substantially in contact with each other.

In one embodiment, in the at least one working configuration (FIGS. 1d and 2c ) and, if provided, in the at least one supplementary working configuration, the kinematic expansion mechanism 35 b may allow each of the mobile arched modules 35 c and 35 d to protrude from the fixed module 35 a so that the angular extent of the gantry 30 is greater than the one of the fixed module 35 a and, almost equal to that of the fixed module 35 a plus the angular extent of the portion of each mobile module 35 c and 35 d protruding from the fixed module 35 a.

In one embodiment, the kinematic mechanism 35 b (FIG. 5) is mechanical and, for example, includes at least one rack 35 e disposed on each mobile arched module 35 c and 35 d and extending along the circular trajectory of expansion 30 b. The kinematic mechanism 35 b may also include at least one motorized toothed wheel 35 f hinged to the fixed arched module 35 a, engaging with the racks 35 e to control the motion of the mobile arched modules 35 c and 35 d along the trajectory 30 b.

Alternatively, the kinematic mechanism 35 b may move each mobile arched module 35 c and 35 d with respect to the fixed arched module 35 a through belts, arched actuators, or, in a further alternative, it can be of magnetic type. In a separate embodiment, the mobile arched modules 35 c and 35 d are manually moved with respect to the fixed arched module 35 a. There may be no kinematic mechanism 35 b in this specific embodiment.

In order to store the kinematic expansion mechanism 35 b between the modules 35 a, 35 c and 35 d, each mobile arched module 35 c and 35 d is provided with a recess defining a housing channel 35 g for the kinematic expansion mechanism 35 b.

In one embodiment, the source 31 and the detector 32 and the one or more internal movers may have an angular extension below the angular extension of the fixed module 35 a.

In an exemplary embodiment, in order to move the source 31 and the detector 32 in an independent manner, the gantry 30 includes an internal inner mover 33 defining, for the detector 32, an inner sliding trajectory 33 a and an internal outer mover 34 defining, for the source 31, an outer sliding trajectory 34 a distinct from the outer sliding trajectory 33 a.

The inner and outer sliding trajectories 33 a and 34 a may have a circular shape with its center on the axis 30 a to move the source 31 and/or the detector 32 without substantially changing its distance from the main axis of expansion 30 a. In one example, the inner and outer sliding trajectories 33 a and 34 a lie on a single plane substantially perpendicular to the main axis of expansion 30 a and substantially parallel to the positioning plane 30 c.

In one exemplary embodiment, the outer sliding trajectory 34 a defines a distance from the source 31 to the main axis of expansion 30 a, and the inner sliding trajectory 33 a defines a distance of the detector 32, i.e. the sensitive surfaces 32 b or 32 d, from the main axis of expansion 30 a. The radius defined by the outer sliding trajectory 34 a is greater than the radius defined by the inner sliding trajectory. It has been contemplated that the outer sliding trajectory 34 a defines a distance of the source 31 from the main axis of expansion 30 a between about 1100 mm and about 300 mm. This distance may also be between about 900 mm and about 480 mm. In this example, the inner sliding trajectory 33 a defines a distance of the sensitive surface of the detector 32 from the main axis of expansion 30 a between about 900 mm and about 150 mm and, in detail, between about 600 mm and about 300 mm.

By way of example only, each internal mover 33 and 34 may include an arched guide and at least one cart adapted to move it along the arched guide.

In one embodiment, best shown in FIGS. 3a and 3b , the internal inner guide 33 includes an inner arched guide 33 b integral with the first mobile module 35 c and defining the sliding trajectory 33 a. The internal inner guide 33 also may include at least one inner cart 33 c. The inner cart 33 c may be motorized (electric) and preferably of recirculating ball type, although any suitable motor may be used. In this embodiment, the inner cart 33 c may be constrained to the detector 32 and adapted to move it along the inner arched guide 33 b and, therefore, along the inner trajectory 33 a. The internal outer guide 34 may include an arched outer guide 34 b integral with the second mobile arched module 35 d and defining the sliding trajectory 34 a. The internal outer guide 34 also may include at least one outer cart 34 c. As with the inner cart 33 c, the outer cart 34 c may be motorized (electric) and preferably of recirculating ball type, although any suitable motor may be used. In this embodiment, the outer cart 34 c may be constrained to the source 31 and adapted to move it along the outer arched guide 34 b and, therefore, along the outer trajectory 34 a.

In certain embodiments, an opening or slot may be disposed on each mobile arched module 35 c and 35 d, duplicating the guides 33 b and 34 b. Also in certain embodiments, a rack can be disposed on the arched guide 33 b and 34 b, on the side opposite to the inner and outer carts 33 c and 34 c. Further, the toothed wheel of the kinematic mechanism 35 b may engage, through the opening or slot, the rack to control the motion of the mobile arched modules 35 c and 35 d by acting on the curved guide 33 b and 34 b.

In one embodiment, each arched guide 33 b and 34 b has an angular extension at least equal to 180° so that the internal movers 33 and 34 are able to rotate the detector 32 and source 31, respectively, by an angle between about 0° and about 180°. It has been contemplated that the arched guides 33 b and 34 b have an angular extension between about 180° and about 210°. In another embodiment, the arched guides 33 b and 34 b have an angular extension between about 190° and about 200°.

By way of example only, the inner arched guide 33 b may be jointly bound to the first mobile arched module 35 c so as to define, on opposite sides of and with respect to the first module 35 c, a first inner protruding portion 33 d and a second inner protruding portion 33 e. In the rest configuration (FIG. 3a ), the first inner portion 33 d may be superimposed to the second mobile module 35 d and the second inner protruding portion 33 e may be cantilevered with respect to the mobile arched modules 35 c and 35 d. Also, in the working configuration of maximum extension (FIG. 3b ), the first inner protruding portion 33 d may be cantilevered with respect to the mobile arched modules 35 c and 35 d and the second inner protruding portion 33 e may be superimposed to the second mobile arched module 35.

In one example, the outer arched guide 34 b is jointly bound to the second mobile module 35 d to define, on opposite sides of and with respect to the module 35 d, a first outer protruding portion 34 d and a second outer protruding portion 34 e. In the rest configuration (FIG. 3a ) of this example, the first outer portion 34 d may be superimposed to the first mobile module 35 c and the second outer protruding portion 34 e may be cantilevered with respect to the mobile arched modules 35 c and 35 d. Also, in the working configuration of maximum extension (FIG. 3b ), the first outer protruding portion 34 d may be cantilevered with respect to the mobile arched modules 35 c and 35 d and the second outer protruding portion 34 e may be superimposed to the first mobile module 35 c.

In one embodiment, the first protruding portions 33 d and 34 d and the second protruding portions 33 e and 34 e respectively may have an angular extension equal to about 90° and about 10° to about 20°.

In certain embodiments, the internal movers 33 and 34 may move, the source 31 and the detector 32 with the guides 33 b and 34 b along the trajectories 33 a and 34 a by an angle between about 0° and about 180° or at least about 360°, with respect to the mobile arched modules 35 c and 35 d. Therefore, each mover 33 and 34 may include a control group adapted to move, along the sliding trajectory 33 a and 34 a, the arched guide 33 b and 34 b relative to the casing 35 and, the mobile modules 35 c and 35 d.

In one embodiment, the control group defines for each internal mover 33 and 34 a contracted condition, in which the inner arched guide 33 b and the outer arched guide 34 b are respectively substantially superimposed to the first mobile module 35 c and to the second module 35 d, and an expanded condition in which the arched guide 33 b and 34 b protrudes at least partially from the corresponding mobile module 35 c and 35 d.

In one embodiment, the control group is adapted to move the arched guide 33 b or 34 b by way of a magnetic field and it includes a magnet, fixed on the mobile module 35 c and/or 35 d, suitable to control the arched guide 33 b or 34 b interacting with permanent magnets connected to the arched guide 33 b or 34 b. Alternatively, the control group is adapted to mechanically move the arched guide 33 b or 34 b and it may include a motorized toothed wheel hinged, preferably, to the arched guide 33 b or 34 b and suitable to engage with a rack obtained on the mobile arched module 35 c and/or 35 d.

In this embodiment, the arched guide 33 b and 34 b may have angular extension almost between 90° and 110°.

In certain embodiments, the internal movers 33 and 34 can be of telescopic type and, therefore, able to move, of an angle between about 0° and about 180°, the source and detector by a variation of their angular extension along the trajectory 33 a and 34 a. Therefore, each mover 33 and 34 may include an additional arched guide extending almost along the trajectory 30 b and interposed between the arched guide 33 b or 34 b and the cart 33 c or 34 c to allow the cart 33 c and 34 c to slide on the additional arched guide. The control group may be adapted to vary the extension of the internal mover 33 or 34, along the sliding trajectory 33 a and 34 a, by moving one of the additional arched guides relative to the corresponding arched guide 33 b and 34 b and, therefore, to the casing 35.

In this embodiment, the control group of each guide 33 and 34 defines a contracted condition, in which the additional arched guide is substantially overlapping the corresponding arched guide 33 b or 34 b and mobile module 35 c or 35 d, and an expanded condition in which the additional arched guide protrudes at least partially from the corresponding arched guide 33 b or 34 b and mobile module 35 c or 35 d.

Additionally, the control group defines an internal mover 33 and/or 34 provided with a stroke-multiplying mechanism obtaining an output speed of greater amplitude, preferably of twice the amplitude, with respect to the input speed. Therefore, the control group includes a rack obtained on the mobile arched module 35 c and/or 35 d or 34 b. The control group may also include an additional rack obtained on the arched guide 33 b or 34 b, and a motorized toothed wheel hinged to the additional arched guide. The motorized toothed wheel may be suitable to engage with both racks determining a speed of the additional guide (output speed) having an amplitude twice the amplitude of the input speed of the toothed wheel.

In this embodiment, each of the arched guides 33 b and 34 b and the additional guide have substantially the same angular extension, which may be between about 90° and about 110°.

In certain embodiments, inside the casing 35, the gantry 30 includes a sensor movement system 36 located between the detector 32 and the cart 33 c of the internal inner guide 33 and able to translate the detector 32 keeping sensitive surfaces 32 b and/or 32 d almost perpendicular to the axis of propagation 31 a.

In one embodiment, the sensor movement system 36 is adapted to translate the detector 32 along a flagging axis 36 a substantially perpendicular to the axis of propagation 31 a and, to the main axis of expansion 30 a. In one embodiment, the sensor movement system 36 is adapted to translate the detector 32, with respect to a position in which the axis of propagation 31 a intersect the center of the sensitive surfaces 32 b or 32 d, of a quantity between about ±400 mm and about ±50 mm, or substantially within about ±400 mm and about ±300 mm.

The sensor movement system 36 may include a flapping guide 36 b defining the flapping axis 36 a, a flapping cursor 36 c supporting the detector 32 and able to slide along the flapping guide 36 b, and a flapping motor 36 d. The flapping motor 36 d may be an electric motor, suitable to command the motion of the flapping cursor 36 c along the flapping guide 36 b.

In yet another embodiment, the imaging radiological imaging system 1 appropriately includes a compensating member 70 arranged between the gantry 30 and the rotation mechanism 60 and suitable to rotate the gantry 30 to facilitate the complete rotation of the source 31 and of the detector 32 about the bed 20 and, thus, about the patient. It has also been contemplated that the system includes one or more integral or removably attached cover blocks 80, preferably two, suitable to seal the ends of the gantry 30 and the ends of the mobile arched modules 35 c and 35 d when the system is in the closed configuration.

The compensation member 70 is suitable to rotate the source 31 and the detector 32 about an axis substantially parallel to the main direction (or axis of extension) 20 a and, about the main axis of expansion 30 a when the gantry 30 is at least in the first rotational blocked position or in the third rotational blocked position. In one embodiment, the amplitude of the additional rotation is such that the amplitude of rotation defined by the internal movers 33 and 34 plus the amplitude of the additional rotation defined by the member 70 allows the source 31 and the detector 32 to realize at least one complete rotation around the main axis of expansion 30 a, the bed 20 and, therefore, around the patient. The sum of the rotations is at least equal to 360° and, preferably, substantially equal to 360°.

In one embodiment, the amplitude of the additional rotation is equal to an angle between about 100° and about 220°, or between about 145° and about 200°, or substantially equal to about 180°.

The compensating member 70 may include at least one rack 71 having a trajectory extending substantially in the shape of an arc of a circumference having its center on the main axis of expansion 30 a. Also, the compensating member 70 may include at least one motorized toothed wheel or other similar device suitable to engage with the rack 71 to control the rotation of the gantry 30.

In one embodiment, the motorized toothed wheel is connected to the mobile plate 52, whereas the rack 71 is obtained on the external surface of the casing 35 and, on the external surface of the fixed arched module 35 a that is on the surface facing the rotation mechanism 50.

By way of example only, each cover block 80 includes a protection 81 having a plate, a slat system, or other element suitable to overlap a section of the fixed module 35 a. It has been contemplated that a motor, not shown in the drawings, suitable to move the protection 81 with respect to the ends of the mobile arched modules 35 c and 35 d and, thus, of the gantry 30, may also be present. In this embodiment, the motor is an electric motor and moves the protection 81 by means of a rotational movement with respect to an axis substantially perpendicular to the positioning plane 30 c of the circular trajectory of expansion 30 b.

In one embodiment, the motor is suitable to overlap the protection 81 with the ends of the gantry 30, closing the gantry 30 when the system is in the rest configuration or in a working configuration characterized by an extension of the gantry 30 substantially less than 360°. The motor also distances the protection 81 from the ends of the gantry 30 in order to permit the correct expansion of at least the gantry 30, when the system 1 is in the working configuration and the gantry is substantially closed, that is, when it defines a closed ring and, consequently, has an extension equal to 360° (above defined configuration of maximum extension or supplementary working configuration of maximum extension).

By way of example only, and not by way of limitation, a method of using the radiological imaging system will be described. In one embodiment, the radiological imaging system 1 is initially in the rest configuration (FIGS. 1a and 2a ) with the gantry 30 arranged inside the free chamber 40 a and, thus, the support surface 20 b practically completely free and substantially accessible from any point.

In this embodiment, in the rest configuration the gantry 30 has the casing 35 with the mobile arched modules 35 c and 35 d substantially housed inside the fixed arched module 35 a and the movers 33 and 34 overlapped to the fixed module 35 a or, if provided, in the contracted condition.

The operator places the patient on the bed 20 and controls the movement into the desired working configuration (FIGS. 1d and 2c ).

In one embodiment, the operator, using the rotation mechanism 50, rotates the gantry 30 by approximately 90° to arrange the positioning plane 30 c substantially perpendicular to the main direction (or axis of extension) 20 a. Next, the casing 35 and the gantry 30, translate along the circular trajectory of expansion 30 b until assuming the desired angular extension.

In one embodiment, should the gantry 30 become substantially closed and, thus, assume an extension of approximately 360°, each cover block 80 moves the protection 81 freeing the ends of the mobile modules 35 c and 35 d and of the gantry 30.

In this embodiment, during this change of configuration, the two mobile arched modules 35 c and 35 d rotate along the circular trajectory of expansion 30 b, with opposite directions of rotation, placing the arched guides 33 b and 34 b on opposite sides with respect to the axis prevalent 30 a (FIG. 3b ).

When the desired working configuration is reached, the operator may then select the portion of the body to be analysed. In one embodiment the control unit 1 a instructs each of the inner and outer carts 33 c and 34 c to slide along the respective arched guide 33 b and 34 b placing the detector 32 and/or the source 31 in the desired position. Alternatively, the movement of the inner cart 33 c and/or out cart 34 c and, therefore, of the detector 32 and/or the source 31 are defined, in addition to the motion of the carts 33 c and 34 c on the respective guide, by the control group above described.

If the movement of the cart 33 c and 34 c is not sufficient to reach the required position and, therefore, to allow the angular position of the source 31 and/or the detector 32 to be those optimal for the type of imaging to be performed, the control unit 1 a may then activate the compensation member 70 in order to rotate the gantry 30, thus bringing the source 31 and/or the detector 32 in the proper position.

Now in this embodiment, either automatically or in response to a command given by the operator through the control unit 1 a, the source 31 and the detector 32 perform the desired radiological imaging.

For example, should the operator wish to carry out a tomography and/or fluoroscopy, the radiological imaging system 1 is made to pass into the first active configuration.

As a result, the motor 32 f rotates the sensors 32 a and 32 c, in relation to the axis of rotation 32 g, in such a way that the first sensitive surface 32 c is positioned substantially perpendicular to the axis of propagation 31 a and in such a position as to be hit by the radiation emitted by the source 31.

After concluding the foregoing operations, the source 31 and the detector 32 perform, either automatically or in response to a command from the operator control using the control station 30, the radiological imaging procedure while the translation mechanism 60 moves the gantry 30 along the axis of translation 60 a to permit the system 1 to perform radiological imaging over the entire portion to be analyzed.

Should the operator wish to use the second sensor 32 c and thereby perform a different radiological imaging procedure, the operator would then control the movement into the second active configuration.

As a result, the motor 32 f rotates the sensors 32 a and 32 c, in relation to the axis of rotation 32 g, in such a way that the first sensitive surface 32 b moves away from the position previously adopted. Moreover, the rotation positions the second sensor 32 c in such a way second sensitive surface 32 d, which is positioned substantially perpendicular to the axis of propagation 31 a and in such a position as to be hit by the radiation emitted by the source 31 and to be at the same distance as that assumed by the first surface 32 b in relation to the source 31 in the previous configuration.

In certain embodiments, if a 360° imaging is required, the internal movers 33 and 34 and the member 70, during the imaging, rotate the source 31 and the detector 32 in order to allow the 360° imaging.

When the radiological imaging procedure is complete, the operator may control the return of the system 1 to the rest configuration and may then, for example, perform surgery on the patient without removing the patient from the device.

Alternatively, if a second radiological imaging procedure is necessary, for example involving a translation of the detector 32 in the opposite direction, the operator controls the passage of the system 1 first into the rest configuration and then into the supplementary working configuration and then performs the second imaging procedure.

In view of the foregoing, it can be appreciated that the radiological imaging system 1, by virtue of varying both the extension of the gantry 30 and its position in relation to the bed 20, makes it possible to perform a plurality of operations/analyses on the patient without moving him from the bed 20.

In one embodiment, in the rest configuration, the gantry 30 is practically entirely housed in the free chamber 40 a, so that the space occupied by the system 1 is defined by the bed 20 and by the load-bearing structure 40 and is, therefore, substantially the same as a hospital bed, that is a bed normally used to transport the patient to other areas within the hospital or to perform an operation on the patient.

Furthermore, the reduction in the overall dimensions has been achieved by displacing the internal movers 33 and 34. Additionally, the reduction in dimensions may be obtained because the internal movers 33 and 34 constitute innovative arched telescopic guides characterized by a high expansion capacity which can, in some case, permit a rotation of the body 33 b and 34 b, and thus, of the source 31 or detector 32 with an amplitude substantially twice that of the amplitude of the input motion of the guide 33 and 34.

Additionally, the system 1, the dimensions of which, in the rest configuration, are similar to those of an examination bed, can easily be maneuvered inside a structure/hospital.

Unlike with the known imaging devices, the radiological imaging system 1 is able to easily and readily pass through doors, in lifts or other openings normally present in a hospital.

Moreover, image acquisition by the imaging system 1 is versatile. By virtue of the internal movers 33 and 34 and the compensating member 70, the source 31 and the detector 32 can rotate by 360° so that the angle of inclination of the radiation, that is, the central axis 31 a, with respect to the patient, can be adjusted as required.

Image acquisition by the imaging system 1 is also versatile by virtue of the rotation mechanism 50 which, by defining the second and the third rotational blocked position for the gantry 30 and, thus, two working configurations for the system 1, allows the detector 32 and the linear sensor (in one example), to be used in two different image acquisition directions, although other types of sensors can be employed instead.

Contrary to the known devices, where images can only be acquired with the gantry translating in a single direction, with the system 1, the gantry 30 can be rotated by about 180° so that scans can be performed in both directions and, thus, specific radiological imaging can be performed without having to move the patient.

Furthermore, by virtue of the cover blocks 80, which seal the ends of the gantry 30 when the system 1 is in the rest configuration, the entry of any blood, debris or other material that could damage the internal components of the gantry 30 can be prevented.

Consequently, an innovative radiological imaging procedure is provided by virtue of the radiological imaging system 1.

With the radiological imaging procedure, the analysis is only performed when the patient is in the ideal condition, thus limiting exposure to radiation and the costs of the analysis.

In the case of injecting a contrast liquid, the radiological imaging procedure allows the analysis to be performed when the liquid is in the portion of the body to be analyzed, thus avoiding the risk of a poor quality analysis due to the absence of the liquid in the portion to be analyzed.

In at least some cases when the correct position of the patient is essential, by being able to check the position of the portion to be analyzed before performing the radiological imaging procedure, the radiological imaging procedure is only performed when the patient is in the desired position.

Additionally, by virtue of the radiological imaging device, the procedure can be carried out without moving the patient during the entire procedure.

Modifications and variations may be made to the invention described herein without departing from the scope of the inventive concept. All the elements as described and claimed herein may be replaced with equivalent elements and the scope of the invention includes all other details, materials, shapes and dimensions.

For example, the source 31 and the detector 32 are integrally constrained to the gantry 30, which in one embodiment is free of handlers 33 and 34. In one example, the source 31 is integral with the fixed arched module 35 a or one of the mobile modules 35 c and 35 d; and the detector 32 can be rigidly integrally with one of mobile modules 35 c and 35 d or to the fixed module 35 a so as to be arranged on the opposite side to the spring 31 in one of the active configurations.

In one embodiment, the compensating member 70 defines an amplitude of the additional rotation substantially equal to an angle substantially greater than 180° and, in another embodiment, at least substantially 360°.

The compensating member 70, therefore, in addition to the rack 71 and the at least a motorized toothed wheel, presents an additional rack having a development trajectory substantially arc of circumference centered on the axis 30 a prevalent development.

In detail, to allow the closure of the mobile arched modules 35 c and 35 d, the additional rack can have a different radius respect to the rack 71 and, therefore, the compensating member 70 may provide a supplementary motorized toothed wheel able to engage the additional rack commanding the rotation of the gantry 30.

One of ordinary skill in the art will appreciate that not all radiological imaging systems have all these components and may have other components in addition to, or in lieu of, those components mentioned here. Furthermore, while these components are viewed and described separately, various components may be integrated into a single unit in some embodiments.

The various embodiments described above are provided by way of illustration only and should not be construed to limit the claimed invention. Those skilled in the art will readily recognize various modifications and changes that may be made to the claimed invention without following the example embodiments and applications illustrated and described herein, and without departing from the true spirit and scope of the claimed invention, which is set forth in the following claims. 

What is claimed:
 1. A radiological imaging system, comprising: a bed; a load-bearing structure connected to the bed and configured to support the bed; and a gantry connected to the load-bearing structure, the gantry defining a main axis of expansion, the gantry having a source configured to emit radiation, a detector with a sensitive surface configured to detect the radiation, an internal inner guide configured to rotate the detector around the main axis of expansion defining an inner sliding trajectory, and an internal outer guide configured to rotate the source around the main axis of expansion defining an outer sliding trajectory, wherein the distance from the source to the main axis of expansion is greater than the distance from the detector to the main axis of expansion, and the gantry including a casing housing the source, the detector, the internal inner guide, and the internal outer guide, wherein the casing includes a fixed arched module, a first mobile arched module, and a second mobile arched module.
 2. The radiological imaging system of claim 1, wherein the distance from the source to the main axis of expansion is between about 900 mm and about 480 mm, and the distance from the detector to the main axis of expansion is between about 600 mm and about 300 mm.
 3. The radiological imaging system of claim 1, further comprising at least one kinematic expansion mechanism connected to the gantry and configured to translate the first and second mobile arched modules with respect to the fixed arched module of the casing.
 4. The radiological imaging system of claim 3, further comprising a rest configuration in which the first mobile arched module is overlapping the fixed arched module so that the angular extension of the casing is substantially equal to the angular extension of the fixed arched module.
 5. The radiological imaging system of claim 3, further comprising a working configuration wherein the first mobile arched module at least partially protrudes from the fixed arched module so that the angular extension of the casing is higher than the angular extension of the fixed arched module.
 6. The radiological imaging system of claim 1, wherein the internal inner guide includes an inner arched guide integral with the first mobile arched module and defining the inner sliding trajectory, and at least one inner cart constrained to the detector to move the detector along the inner arched guide, and wherein the internal outer guide includes an outer arched guide integral with the second mobile arched module and defining the outer sliding trajectory, and at least one outer cart constrained to the source and adapted to move the source along the outer arched guide.
 7. The radiological imaging system of claim 6, wherein the inner and outer arched guides have an angular extension between about 180° and about 210°.
 8. The radiological imaging system of claim 6, wherein the inner arched guide is bound to the first mobile arched module defining a first protruding portion, and the outer arched guide is bound to the second mobile arched module defining a second protruding portion.
 9. The radiological imaging system of claim 8, wherein the first protruding portion has an angular extension of about 90° and the second protruding portion has an angular extension between about 10° and about 20°.
 10. The radiological imaging system of claim 1, further comprising a compensating member arranged between the gantry and the load-bearing structure and configured to define an additional rotation of the source and the detector around the main axis of expansion.
 11. The radiological imaging system of claim 10, wherein the angular extension of the additional rotation plus the angular extension of the rotation of the source and the detector defined by the internal inner guide is equal to about 360°.
 12. The radiological imaging system of claim 11, wherein the angular extension of the additional rotation of the source and the detector is equal to about 180°. 